Physical health monitoring in individuals with severe mental illness: an audit in general practice in North London

Article


Roberts, D. and Mwebe, H. 2020. Physical health monitoring in individuals with severe mental illness: an audit in general practice in North London. Work Based Learning e-Journal International. 9 (2b), pp. 1-21.
TypeArticle
TitlePhysical health monitoring in individuals with severe mental illness: an audit in general practice in North London
AuthorsRoberts, D. and Mwebe, H.
Abstract

Poor physical health is common in people with Severe Mental Illness (SMI). Two-thirds of deaths in SMI could be avoided if patients are offered prompt physical health screening for known risk factors. We aimed to identify SMI patients registered at a General Practice and audit their care in relation to physical health monitoring. We included adult patients with coded diagnoses of SMI. We selected 18 best practice criteria for physical health monitoring, based on Quality and Outcomes Framework (QOF) indicators for mental health, NICE guidelines and other professional guidance. Data was obtained from electronic patient records and examined over a 12-month period. Only 5 out of 18 best practice criteria achieved compliance above the expected standard of 70% (annual record of blood pressure, smoking, alcohol, medication review, prescription on repeat template). Care planning achieved 69%; and most of the remaining parameters (pulse, BMI, weight, QRISK2, serum lipids, glucose, dietary advice, physical activity, drug use) reached levels around 50-60%. Particularly low compliance (<40%) was found for ECG, pregnancy/contraception advice and medication side-effects. There is definite room for improvement regarding physical health monitoring of SMI patients within general practice. We recommend increased attention to annual physical health checks, particularly cardiovascular risk factors, and the consistent offer of targeted interventions. Organisational financial incentives are also effective at increasing compliance results.

Keywordssevere mental illness; physical health monitoring; general practice; mental health professionals; cardiometabolic risk
Sustainable Development Goals4 Quality education
Research GroupWork and Learning Research Centre
LanguageEnglish
PublisherMiddlesex University
JournalWork Based Learning e-Journal International
ISSN2044-7868
Publication dates
Print05 Dec 2020
Publication process dates
Deposited02 Feb 2021
Accepted02 Nov 2020
Output statusPublished
Publisher's version
Copyright Statement

The Work Based Learning e-Journal International is an open access journal which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author. This is in accordance with the DOAJ definition of open access.

Web address (URL)https://www.wblearning-ejournal.com/en/volume-9,-issue-2,-december-2020
https://wblearning-ejournal.com/uploads/text_with_images/1.daniellerobertsimperialcollegehealthcarenhstrustandherbertmwebemiddlesexuniversityukphysicalhealthmonitoringinindividualswithseverementalillnessanauditingeneralpracticeinnorthlondon1607435565.pdf
Permalink -

https://repository.mdx.ac.uk/item/8940q

  • 41
    total views
  • 7
    total downloads
  • 4
    views this month
  • 3
    downloads this month

Export as

Related outputs

Giving evidence before the first-tier Tribunal (Mental Health): What is the role of inpatient mental health nurses?
Mwebe, H. 2023. Giving evidence before the first-tier Tribunal (Mental Health): What is the role of inpatient mental health nurses? British Journal of Mental Health Nursing. 12 (4), pp. 1-4. https://doi.org/10.12968/bjmh.2023.0012
Mental illness: why is cardiometabolic risk monitoring important?
Mwebe, H. 2023. Mental illness: why is cardiometabolic risk monitoring important? Mental Health Practice.
Monitoring cardiovascular disease risk in individuals with severe mental illness in an inpatient mental health setting: a secondary data analysis.
Mwebe, H., Volante, M. and Weaver, T. 2020. Monitoring cardiovascular disease risk in individuals with severe mental illness in an inpatient mental health setting: a secondary data analysis. British Journal of Mental Health Nursing. 9 (3), pp. 1-14. https://doi.org/10.12968/bjmh.2020.0005
Monitoring cardiovascular disease risk in individuals with severe mental illness in an inpatient mental health setting: a secondary data analysis
Mwebe, H., Volante, M. and Weaver, T. 2020. Monitoring cardiovascular disease risk in individuals with severe mental illness in an inpatient mental health setting: a secondary data analysis. British Journal of Cardiac Nursing. 15 (11), pp. 1-15. https://doi.org/10.12968/bjca.2020.0157
Risk of cardiovascular disease in people taking psychotropic medication: a literature review
Mwebe, H. and Roberts, D. 2019. Risk of cardiovascular disease in people taking psychotropic medication: a literature review. British Journal of Mental Health Nursing. 8 (3), pp. 136-144. https://doi.org/10.12968/bjmh.2018.0033
Endoscopic variceal ligation against or in combination with vasoactive drugs for acute treatment of bleeding oesophageal varices: a systematic review and meta-analysis
Roberts, D., Mwebe, H. and Gurusamy, K. 2021. Endoscopic variceal ligation against or in combination with vasoactive drugs for acute treatment of bleeding oesophageal varices: a systematic review and meta-analysis. ESGE Days 2021. Virtual 25 - 27 Mar 2021 Thieme. https://doi.org/10.1055/s-0041-1724546
Pharmacology case studies: mental health illness
Mwebe, H. 2021. Pharmacology case studies: mental health illness. in: Scholefield, D., Sebti, A. and Harris, A. (ed.) Pharmacology Case Studies for nurse prescribers Cumbria M&K Publishers. pp. 327-360
Psychopharmacology: A mental health professional's guide to commonly used medications
Mwebe, H. 2021. Psychopharmacology: A mental health professional's guide to commonly used medications. St Albans Critical Publishing.
A nurse academic's lived experience with COVID-19: a reflective narrative
Mwebe, H. 2021. A nurse academic's lived experience with COVID-19: a reflective narrative. British Journal of Mental Health Nursing. 10 (3), pp. 1-7. https://doi.org/10.12968/bjmh.2021.0010
Efficacy of endoscopic variceal ligation alone or in combination with vasoactive drugs for acute treatment of bleeding oesophageal varices in patients with liver cirrhosis: a systematic review and meta-analysis
Mwebe, H. and Roberts, D. 2018. Efficacy of endoscopic variceal ligation alone or in combination with vasoactive drugs for acute treatment of bleeding oesophageal varices in patients with liver cirrhosis: a systematic review and meta-analysis. PROSPERO International prospective register of systematic reviews.
Physical health assessment and strategies to improve physical health needs in SMI
Mwebe, H. 2018. Physical health assessment and strategies to improve physical health needs in SMI. PhD thesis Middlesex University Business School
Improving the physical health needs of mental health service users
Mwebe, H. 2017. Improving the physical health needs of mental health service users. PhD thesis Middlesex University Business School
Physical health care needs in severe mental illness - 'screening and monitoring'
Mwebe, H. 2017. Physical health care needs in severe mental illness - 'screening and monitoring'. PhD thesis Middlesex University Business School
Physical health care needs in severe mental illness - 'screening and monitoring'
Mwebe, H. 2017. Physical health care needs in severe mental illness - 'screening and monitoring'. 4th Horatio Festival of Psychiatric Nursing: Working in Partnership. Dolman Hotel, Malta 11 May 2017
Monitoring physical health needs in severe mental illness "MH nurses' to do list"
Mwebe, H. 2017. Monitoring physical health needs in severe mental illness "MH nurses' to do list". Capital Nurse Conference. Park Plaza Westminster Bridge, 200 Westminster Bridge Road, Lambeth, London, SE1 7UT. 26 Mar 2017
Oral presentation to primary care health professionals - Workshop "Mental Health, what to expect in Primary care" A quick guide
Mwebe, H. 2015. Oral presentation to primary care health professionals - Workshop "Mental Health, what to expect in Primary care" A quick guide. Oral Presentation to Primary care health professionals- Workshop "Mental Health, what to expect in Primary care" A quick guide. City University 19 Mar 2015
Psychopharmacology: A mental health professional’s guide to commonly used medications
Mwebe, H. 2018. Psychopharmacology: A mental health professional’s guide to commonly used medications. St Albans Hertfordshire Critical Publishing.
Serious mental illness and smoking cessation
Mwebe, H. 2018. Serious mental illness and smoking cessation. British Journal of Mental Health Nursing. 7 (1), pp. 39-46. https://doi.org/10.12968/bjmh.2018.7.1.39
Physical health monitoring in mental health settings: a study exploring mental health nurses’ views of their role
Mwebe, H. 2017. Physical health monitoring in mental health settings: a study exploring mental health nurses’ views of their role. Journal of Clinical Nursing. 26 (19-20), pp. 3067-3068. https://doi.org/10.1111/jocn.13653